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HomeMy WebLinkAbout309950 T2 SYSTEMS INC - INSURANCE CERTIFICATE (8)ACORv CERTIFICATE OF LIABILITY INSURANCE OP ID E DATE(MMIDDIYYYY) T2TEC-1 08 10 05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Brown 6 Brown Ins of Denver HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 7110 W. Jefferson Ave., #100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver CO 80235 Phone:303-980-6265 Fax:720-962-5142 T2 Technologies Inc. Kristin McDonald 5595 S. Curtice Littleton CO 80120 INSURERS AFFORDING COVERAGE INSURER A: Hartford Insura INSURER B: INSURER C: INSURER D: INSURER E: NAIC # Co. 1 38228 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTRINSRE TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MWDDIYY POLICY EXPIRATION DATE MM/DDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 , Q00 , 000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE i X OCCUR 34SBAGB7991SC 08/20/05 08/20/06 PREMISES' (Eaoccurence) $300,000 MED EXP (Any one person) $ 10 , 0 Q Q PERSONAL B ADV INJURY $1,000 000 GENERAL AGGREGATE $ 2 000 000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2 , 000 , 000 X POLICY 7 PRO- JECT LOC AUTOMOBILE LIABILITY A ANY AUTO 34SBAGB7991SC 08/20/05 08/20/06 COMBINED SINGLE LIMIT (Ea accident) $ 1 OQO 00 0 i r ALL OWNED AUTOS SCHEDULED AUTOS BODiLYINJURY (Per person) HIREDAUTOS X NON -OWNED AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO 1 OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TW17 LIMITS ER E.L. EACH ACCIDENT $ ANY PRCPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? If yes describe under ECIAL PROVISIONS below E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ HER rAPropertySection 34SBAGB7991SC 08/20/05 08/20/06 BPP $53,800 Spec/RC $250 Ded DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS FTCOLCI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WALL ENDEAVOR TO MAIL 10 DAYS WRITTEN City of Ft Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Attn • James O'Neill IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 215 N Mason St REPRESENTATIVES. Ft Collins CO 80522 AUTHORIZ.Ep REPRESENTATIVE _ .J ACORD 25 (2001/08) c CORD CORPORATION /9RR IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 ACORD! CERTIFICATE OF LIABILITY INSURANCE OPID E DATE(MMIY T2TEC-1 08 100/OS5 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Brown S Brown Ins of Denver HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 7110 W. Jefferson Ave., #100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver CO 80235 Phone:303-980-6265 Fax:720-962-5142 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Hartford Insurance Co. 38228 INSURER B: T2 Technologies Inc. Kristin McDonald INSURER C: INSURER D: 5595 S. Curtice Littleton CO 80120 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR INSRN TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDIYY POLICY EXPIRATION DATE MMIDD LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 7 OCCUR 34SBAGB7991SC 08/20/05 08/20/06 EACH OCCURRENCE $ 1 , 000 , 000 PREMISES Eaoaurence s300,000 MED EXP (Any one person) $ 10 , 000 PERSONAL B ADV INJURY $1,000 000 GENERAL AGGREGATE $ 2 , 000 , 000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ,p LOC PRODUCTS - COMP/OP AGG $2,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 34SBAGB7991SC 08/20/05 08/20/06 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Par accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHERTHAN EA ACC AUTO ONLY: AGG $ $ EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOFJPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below TORY LIM I ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ A OTHER Property Section 34SEAGB7991SC 08/20/05 08/20/06 BPP $53,800 Spec/RC $250 Ded DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION FTCOLC I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City of Ft Collins Attn: James O'Neill IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 215 N Mason St REPRESENTATIVES. AUTHORI REPRVENTA VE Ft Collins CO 60522 ACORD 25 (2001108) © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. 25